Funda ngeDysphonia nezinye izindlela Zithinta Inkulumo
I-Dysphonia inzima ukukhuluma ngenxa yokulawulwa okunciphise kwemisipha yezindebe zakho, umlomo, ulimi, umphimbo, kanye / noma izintambo zomculo.
E- multiple sclerosis (MS), i-dysphonia ngokuvamile ibhekisela enkingeni yokulawula ivolumu yokukhuluma, okusho ukuthi ukukhuluma ngokushelela kakhulu ukuzwakala noma ngokuzwakalayo kunalokho okufanelekile. Ezinye izibonelo ze-dysphonia zibandakanya ukuzwakalisa, ukukhuluma nge-raspy, noma ukuguqulwa kwe-pitch uma uzama ukukhuluma.
I-Dysphonia Yenye Inhlobo Ye-Dysarthria
Uma une-MS noma wazi umuntu onayo, ungazi ukuthi kunezindlela eziningi lesi sifo singathinta ikhono lokukhuluma ngokucacile. Lezi zinkinga zokukhuluma, kuhlanganise ne-dysphonia, ziqoqelwe ngaphansi kwezinkinga ze- dysarthria -speech ezivela ekulawuleni okunciphise imisipha esetshenziswa enkulumweni, ngokuvamile ngenxa yomonakalo wezinzwa.
I-Dysarthria ithinta cishe isigamu sabantu abane-MS futhi yisifo esijwayelekile kakhulu sokuxhumana kulabo abanesifo. Ngokuvamile kuvamisile; Kodwa-ke, ukuqina kwesifo kubonisa izinga lokulimala kwamantombazane, kanye nohlobo lwesifundo sezinkinga (i-MS yokubuyisela emuva noma i-MS ngokuqhubekayo).
Ukuhlukunyezwa okuhlobene ne-MS kungase kuthinte izinga lakho lokukhuluma, ukuqonda kwenkulumo yakho, nokugeleza kwayo kwengxoxo yemvelo.
Izibonelo zifaka:
- Inkulumo emisiwe, enezinkinga zokubiza amagama
- "Ukukhipha" inkulumo, lapho ukhuluma khona kancane, ngezimangalo ezinde phakathi kwamazwi ngisho naphakathi kwamagama ezwi
- Inkulumo "yokuqhuma", eneziqephu zokukhiqizwa kwenkulumo okukhulu, okusheshayo
Isizathu Senkinga Yokukhuluma ku-MS
Ukuhlukunyezwa okuhlobene ne-MS kubangelwa ukulimala kwamantombazane okwehlisa imisipha yobuso bakho obuphansi, izindebe, ulimi, nomphimbo. Ngokuvamile, imbangela yizindawo eziningi ezincane zomonakalo kunoma yiziphi ezimbili ezinkulu ze-lobes zobuchopho bakho.
Esinye isizathu esibangelwayo umonakalo ku-brainstem yakho, indawo yezinzwa phakathi kobuchopho bakho nomlomo wakho womlomo wesibeletho (intanyeni yendawo yomgogodla).
Ezinye izinhlobo ze-Dysarthria ezihlobene ne-MS zikholakala ukuthi zibangelwa umonakalo we-myelin sheath ngaphakathi kwe-cerebellum, ingxenye yengqondo ngemuva kwe-skull yakho.
Ngokuvamile, ukuphazanyiswa kwenkulumo ku-MS kusukela ku- aphasia , ukulahlekelwa ikhono lokuqonda noma ukuveza inkulumo engase ihlobene nokulahlekelwa kwememori.
Izinhlobo Ezintathu Ze-Dysarthria ku-MS
Odokotela baxilonga izinhlobo ezintathu ezihlukene zedayarthria kubantu abane-MS:
- I-dysarthria ye-spastic, ikakhulukazi enesisindo somzimba noma isisindo
- I-ataxic dysarthria, ikakhulukazi equkethe ukulahleka kwemisipha yokulawula ukunyakaza
- I-dysarthria ehlanganisiwe, ehlanganisa izici zombili izinhlobo ze-spastic ne-atxic
I-dysarthria ehlanganisiwe ivame kakhulu kubantu abane-MS. Lokhu kungenxa yokuthi i-MS ithinta kakhulu izindawo eziningi zesistimu yakho yezinzwa. Ku-dysarthria exubekile, ukulimala kwamantombazane kungabandakanya indaba yakho yomhlophe yengqondo kanye / noma i-cerebellum, i-brainstem yakho, kanye / noma umgogodla wakho.
Ngaphandle kwezibonakaliso ze-neurologic ezinjengezinkinga ze-muscle ezandisiwe noma izinkinga ze-balance, kunezibonakaliso zezwi ezingakukhomba ukuthi zikhona uhlobo lwe-dysarthria ekhona.
Ngokwesibonelo, i-spystic dysarthria ibonakala ngezici zezwi ezifana nalezi:
- Ikhwalithi yezwi enzima, ehlanjululwe
- Izinga eliphansi lokukhuluma
- Ukuphakama okukhulu noma ukuduma okukhulu
I-ataxic dysarthria ibonakala yizici zezwi ezilandelayo:
- Ukuzamazama kwamagama
- Ukunyakaza okusheshayo, okusheshayo, nokushintshana kolwimi, izindebe nomhlathi
- Ukuskena inkulumo
- Ukuphakama okungeziwe futhi okuguquguqukayo
Yini Ongayenza Ukuze Uthuthukise Inkulumo ku-MS?
Uchwepheshe wezolimi okhuluma ulimi anganikeza umzimba ukuqinisa imisipha ehilelekile enkulumweni noma ukuthuthukisa ukuphefumula ngokusiza ukuphumula. Ngaphezu kwalokho, uchwepheshe wezolimi okhuluma ulimi angakufundisa amasu okunciphisa inkulumo ephuthumayo, ukumisa kahle phakathi kwamagama, nokubiza amagama ngokucacile nangendlela efanele.
I-Dysarthria e-MS ayifuni ukuqhubekela phambili lapho umuntu engakwazi ukukhuluma khona. Kodwa uma ukukhuluma kuba nzima kakhulu kumuntu, angasebenzisa indlela ehlukile yokuxhumana njengamazwi amplifiers noma amakhompiyutha wekhompyutha.
Izwi elivela
Nakuba kungekho ukwelashwa okwamanje, abantu abaningi abane-MS baphila kahle ngoba bayakwazi ukuphatha kahle izimpawu zabo.
Ngeshwa, akukho mithi etholakala ngqo esiza ukuthuthukisa izinkinga zenkulumo ezihlobene ne-MS. Kodwa-ke, imithi ehlisa izimpawu ezifana nokuqina komzimba noma ukuqina (spasticity) inganikeza ukuthuthukiswa kwenkulumo.
Okokugcina, usizo lochwepheshe wezinkulumo, ngisho nezinhlelo ezimbalwa, lungenza izimangaliso zakho (noma izinkinga zakho zokukhuluma) noma ukuzethemba kwakho nekhwalithi yokuphila.
Imithombo:
UBarone DA. (2018). Multiple Sclerosis Association of America (2013). Ukukhuluma nokufaka izinkinga.
> Cohen SM, Elackattu A, Noordzij JP, Walsh MJ, Langmore SE. Ukuphathwa kokwelashwa kwe-dysphonia ne-dysarthria. I-Otolaryngol Clin North Am . 2009 Feb; 42 (1): 107-21.
Miller PH. I-National MS Society. (2011). I-Dysarthria ku-multiple sclerosis.